Yafteh

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Background: Hospital as the gravitational center of the health and treatment system and an open system involving complex processes and various (qualitative and quantitative) resources, needs an effective leadership style and an approperiate strategy to solve the organizational disagreements and conflicts in order to achieve its basic objectives. The object of this research is to study the relationship between leadership style and conflict management among the managers of the hospitals, which sponsord by Lorestan university of Medical sciences during the year 2004. Materials and Methods: This research is a descriptive – analytical study. The necessary information was gathered by three different questionnaires (personal information, leadership style using Fiedler’s LPC method and conflict management), and also by interviewing the subjects. The collected data were analyzed using statistical software. The research sample consisted of 177 managers from 13 hospitals, which were sponsored by Lorestan university of medical sciences. Results: The findings demonstrated that 54.2 percent of the subjects had a duty-oriented leadership style, 35.6 percent had a relationship – oriented leadership style, and 10.2 percent of the subjects had an independent – social leadership style. Considering conflict management strategies, 49.7 percent showed a non – confrontational strategy, 44.6 percent demonstrated a control-oriented strategy and 5.7 percent had a problem- solving strategy. The subject’s leadership style had a significant statistical relationship with their job experience (p=0.043). Also, there was a significant statistical relationship between conflict management strategies and the sex of the subjects (p= 0.036). Age of the subjects and their control-oriented strategy also demonstrated a significant statistical relationship(p=0.01). Conclusion: Determining the leadership and management styles and identifying the methods of dealing with disagreements and conflicts in hospitals is crucial. Since some of the factors involved in leadership style and conflict management have been studied in this research, it is suggested that the effect of other factors such as organizational culture , social culture , race , personality , etc. on the leadership style of people be studied more comprehensively.

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Background : Performance of hospital managers need to be evaluated based on suitable criteria to get better performance. Unfortunately no formal and systematical performance assessment system has been used to evaluate managers. The aim of this study is to determine the concrete and suitable hospital managers, performance assessment using experts, views. Materials and Methods: This study was a qualitative research with thematic analysis method. By using semi structured questionnaire with 2 health system experts interview was conducted and 20 experts participated in focus group discussion. After each interview and group discussion withdrawals were checked with participants. The initial interviews were analyzed by two faculty members and then were combined. Results: 7 main themes about necessary criteria for hospital managers, performance assessment were obtained from experts, views. These themes are: skills related to planning, organization and staff performance management, leadership, information management, clinical governance and performance indicators. Conclusion: All participants in the study had a history of hospital management therefore their comments will be an effective step in identifying the criteria for making hospital managers, performance assessment tool. In addition to Professionals, perspectives and studies done in other countries, in order to design this kind of tools, it is necessary to adjust the obtained findings according to the local hospital conditions.